Does Carolina Complete Cover ABA Therapy?
Yes, Carolina Complete covers costs related to Applied Behavior Analysis (ABA) therapy in certain states and under specific conditions. The screening, diagnosis, and treatment of children with autism can be covered by Carolina Complete.
What is Carolina Complete Health?
Carolina Complete Health is a managed care organization that provides healthcare services to individuals who are eligible for Medicaid. It is a joint venture between the North Carolina Medical Society and Centene Corporation. The organization offers a range of healthcare services, including medical, dental, and behavioral health services.
Does Carolina Complete Health Cover ABA Therapy?
Yes, Carolina Complete Health does cover ABA therapy. According to the Carolina Complete Health website, ABA therapy is considered a covered benefit for individuals with ASD who are under the age of 21. The therapy is covered under the Behavioral Health benefit.
How to Access ABA Therapy through Carolina Complete Health
If you are a Carolina Complete Health member and you believe that your child may benefit from ABA therapy, you should contact your child's primary care provider (PCP) to discuss your concerns.
Your PCP can refer your child to a behavioral health provider who can evaluate your child and determine whether ABA therapy is appropriate.
If ABA therapy is recommended, your child's behavioral health provider will work with you to develop a treatment plan.
The treatment plan will outline the goals of the therapy and the number of hours per week that your child will receive therapy.
The treatment plan will also specify the type of therapy that will be used and the qualifications of the therapist who will provide the therapy.
Conclusion
Carolina Complete Health does cover ABA therapy for individuals with ASD who are under the age of 21. If you are a Carolina Complete Health member and you believe that your child may benefit from ABA therapy, you should contact your child's PCP to discuss your concerns.
Your PCP can refer your child to a behavioral health provider who can evaluate your child and determine whether ABA therapy is appropriate. If ABA therapy is recommended, your child's behavioral health provider will work with you to develop a treatment plan.
